In his account of the symptoms and the progress of the case until the deceased’s death, Dr. Berry was fully confirmed by Dr. Little, who added that at that time they were of opinion that the death was due to an irritant poison. Dr. Berry then gave the results of
THE POST-MORTEM EXAMINATION.
“After his death Dr. Little and I collected some of the vomit which had been caught in a basin in the bedroom. (He had previously vomited in the closet.) I also collected some from the floor of the bedroom and the closet, and the whole was put into a cup together, and thence into a clean bottle, which was sealed with my own seal, and given to Mr. Bond on the day of the post-mortem examination.
“On Tuesday, Dec. 6th, Mr. Bond, Dr. Little, and myself, made a post-mortem examination. I made some notes at the time which I have here. With the exception of the paralysis of the lower limbs, he was a particularly well-developed, muscular lad. The brain was slightly congested superficially, as well as the substance of the brain itself. By superficially, I mean the membranes. There was no fluid in the ventricles of the brain, nor under the membranes. The pupils of the eyes were dilated; the lips pale and the tongue bleached; in the right lung were some old adhesions at the apex, between the lung and the chest wall, the result of inflammation at some previous time. Both lungs were healthy, but considerably congested in the lower part. The heart was healthy muscularly, the valves also healthy; it was almost entirely empty and flaccid. There was a small quantity of fluid in the pericardium. The liver was normal in size, but intensely congested. The kidneys were also normal in size, but much congested, and the spleen was also congested but normal in size. The stomach had the mucous membrane congested throughout. Under the surface, near the large end of the stomach, were six or eight small yellowish-grey patches, slightly raised, about the size of a small bean. Towards the smaller end of the stomach were two or three similar smaller spots. I believe that they were the result of inflammation, caused recently before death. The stomach contained three or four ounces of dark fluid, which was carefully preserved, and of which Mr. Bond took charge. I examined the duodenum, the first part of which was greatly congested, and there were patches of congestion on other parts of the small intestines. Portions of the intestines were taken care of by Mr. Bond, who also took possession of the stomach itself and portions of the liver, with the gall bladder, both of the kidneys and the spleen. The bladder contained three or four ounces of urine, which was drawn off and taken possession of by Mr. Bond. There were no traces of inflammation in the peritoneum. The membranes of the spinal cord were greatly congested. Except the appearance of the lungs and the curvature of the spine, these were all the appearances I noted in the post-mortem examination. There was nothing in the post-mortem examination to account for death from natural causes. I should say that he died from the effect of some irritant poison, the administration of which would, I believe, account for all the appearances. Aconitia is a vegetable alkaloid poison, and the appearances would be consistent with a fatal dose of that poison, but I have no special knowledge on the subject.”
On cross-examination, the witness repeated, in several forms, that he had no special knowledge of aconitia, but some of aconite as used internally for cancer, erysipelas, and other complaints, and was unable to say whether a grain of aconitia blended into 20 pills would be good for curvature of the spine, and that the remedies he applied were for the violent irritation of the stomach from which up to the time of his death he believed the deceased was suffering.
“At the post-mortem I examined the spinal cord and the spinal curvature. The cord was healthy, but congested. The existence of paralysis is consistent with a healthy spinal cord, but not with healthy bone and healthy intervertebral cartilages. I did not examine the condition of the arteries in the neighbourhood of the curvature.”
Mr. Williams.—“Are you not aware that there are many cases on record of death having resulted from the effects of pressure on the arteries in the regions of these curvatures?”
Witness.—“No; but I am not prepared to say that there are not such cases.”
Mr. Williams.—“Will you undertake to say that death did not result from such a cause as that?”
Witness.—“I cannot undertake to say. I did not examine to see the effect of the spinal curvature on the position of the lungs.”